Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability

Bonifer, Nancy M; Anderson, Kristin M.; Arciniegas, David B.

doi:10.1016/j.apmr.2005.04.002

Cited by 83 publications

(75 citation statements)

References 26 publications

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“…In fact, longitudinal studies have estimated that a minority of hemiplegic stroke patients will demonstrate full functional recovery in the contralesional limbs [31][32][33][34][35]. Bonifer et al reported that even after engaging in a CIT trial that improved active movement, the contralesional arm of moderately impaired patients continued to be used to assist with bimanual activities, rather than as the lead controller in unimanual and bimanual tasks [27][28]. Vega-Gonzalez and Granat continuously monitored spontaneous use of both arms in chronic stroke patients and reported that hemiplegic patients used the ipsilesional limb three to six times more frequently than its hemiparetic counterpart [33].…”

Section: Conclusion: Implications Of Motor Lateralization For Strokementioning

confidence: 99%

“…CIT encourages the use of the affected limb for certain periods of time and for certain prescribed tasks and thus acts to reverse this cycle. CIT has been shown to improve both the quality of motor coordination as well as the functional use of the affected limb [27][28][29][30]. However, studies of CIT have tended to focus on patients who have significant active movement of the wrist and fingers.…”

Section: Introductionmentioning

confidence: 99%

“…However, studies of CIT have tended to focus on patients who have significant active movement of the wrist and fingers. While a large number of rehabilitation patients may not qualify for CIT based on this requirement [31], recent research has suggested that more severely involved patients might show some benefits from CIT [27]. Robot-aided rehabilitation is another promising approach to remediation of the contralesional limbs.…”

Section: Introductionmentioning

confidence: 99%

“…In fact, recent advances in therapeutic interventions for the contralesional arm have been very promising. Both robotaided rehabilitation [23][24][25][26] and constraint-induced movement therapy [27][28][29][30] have shown great promise for advancing function of the contralesional limbs. Constraint-induced therapy (CIT) is based on the idea that patients learn to "not use" the affected limb during the first few months following a stroke.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Does motor lateralization have implications for stroke rehabilitation?

Sainburg

Duff

2006

JRRD

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Abstract-Recent findings on motor lateralization have revealed consistent differences in the control strategies of the dominant and nondominant hemisphere/limb systems that could have implications for hemiplegic stroke patients. Studies in stroke patients have demonstrated deficiencies in the ipsilesional arm that reflect these distinctions; patients with right-hemisphere damage tend to show deficits in positional accuracy, and patients with left-hemisphere damage show deficits in trajectory control. Such deficits have been shown to impede functional performance; yet patients with severe dominant-side hemiplegia must often use the nondominant arm as the primary manipulator for activities of daily living. Nevertheless, the nondominant arm may not spontaneously become efficient as a dominant manipulator, as indicated by the persistence of deficits in chronic stroke patients. More research is necessary to determine whether motor therapy can facilitate a more effective transition of this arm from a nondominant to a dominant controller.

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Section: Conclusion: Implications Of Motor Lateralization For Strokementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does motor lateralization have implications for stroke rehabilitation?

Sainburg

Duff

2006

JRRD

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“…United States today have survived a stroke (Bonifer et al, 2005). Functional disability resulting from stroke challenges survivors, their caregivers and rehabilitation professionals.…”

mentioning

confidence: 99%

Effects of robotic‐aided rehabilitation on recovery of upper extremity function in chronic stroke: a single case study

Flinn

Smith²,

Tripp³

et al. 2009

Occupation Therapy Intl

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Constraint-induced movement therapy for upper extremities in stroke patients

Sirtori¹,

Corbetta²,

Moja

et al. 2009

Cochrane Database of Systematic Reviews

130

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CIMT is a multifaceted intervention: the restriction to the normal limb is accompanied by a certain amount of exercise of the appropriate quality. It is associated with a moderate reduction in disability assessed at the end of the treatment period. However, for disability measured some months after the end of treatment, there was no evidence of persisting benefit. Further randomised trials, with larger sample sizes and longer follow up, are justified.

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Constraint-Induced Movement Therapy After Stroke: Efficacy for Patients With Minimal Upper-Extremity Motor Ability

Cited by 83 publications

References 26 publications

Does motor lateralization have implications for stroke rehabilitation?

Does motor lateralization have implications for stroke rehabilitation?

Effects of robotic‐aided rehabilitation on recovery of upper extremity function in chronic stroke: a single case study

Constraint-induced movement therapy for upper extremities in stroke patients

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